The experience for reconstructing calcaneus partial defect with deep iliac circumflex artery ilium lamella and sural nerve flap:7 cases report

VernacularTitle:旋髂深动脉蒂髂骨瓣联合腓肠神经营养血管皮瓣重建跟骨七例
Author: Gang LIU ; Xiaohan ZHENG ; Ting PAN
Publication Type:Journal Article
Keywords: Deep iliac circumflex artery; Ilium lamella flap; Calcaneus partial defect; Microsurgical operation
From: Chinese Journal of Microsurgery 2012;35(4):282-284,后插4
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical treatment effect reconstructing calcaneus partial defect with deep iliac circumflex artery illium lamella and sural nerve slap. Methods Sevens of calcaneus fracture with posterior part defect from July 2005 to July 2010 were rehabilitated with deep iliac circumflex artery ilium lamella whose artery were anastomosed to posterior tibial artery and whose skin were repaired with sural nerve slap. Results All patients were obtained follow-up,which ranged from 9 to 30 months with a mean of 19.5 months. Its Bohler angle maintain a range from 35 to 45 degree and foot bridge maintain its figure,as well as perfect skin.According to Maryland grades system,the result were excellent in 3 cases with score 90,good in 2 with score 85 and fair in 2 with score 75. Conclusion It is a perfect method for calcaneus trauma which lose its foot bridge to rehab its figure and function with deep iliac circumflex artery ilium lamella and sural nerve slap.